Price AtlasInteractive atlas · All states · techysurgeon.comDecatur Memorial Hospital: what a joint replacement costs
Decatur, IL 62526 · CMS Certification Number 140135. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at Decatur Memorial Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,539 | $94,217 | 6.1× | $12,057 |
| Shoulder replacement | $22,730 | $164,293 | 7.2× | $17,185 |
| Hip replacement after a fracture (DRG 522) | $15,104 | $80,719 | 5.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $16,335 | 1.1× | $12,350–$41,722 | 12 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $41,722 | 2.7× | 1 |
| Aetna | $26,619 | 1.7× | 1 |
| Health Alliance | $20,381 | 1.3× | 1 |
| Cigna | $18,676 | 1.2× | 1 |
| Coventry | $17,109 | 1.1× | 1 |
| Caterpillar | $16,388 | 1.1× | 1 |
| Healthlink | $16,282 | 1.0× | 1 |
| Consociate | $14,999 | 1.0× | 1 |
| Humana | $13,246 | 0.9× | 1 |
| Hfn | $12,731 | 0.8× | 1 |
| Mennonite Churches | $12,350 | 0.8× | 1 |
| Plain Church Medical Group | $12,350 | 0.8× | 1 |
| MultiPlan/PHCS (rental network) | $11,788 | 0.8× | 1 |
From the hospital's price-transparency file (2026-09-17); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-17); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 372 beds
Illinois requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll Illinois hospitals
Questions
How much does Medicare pay Decatur Memorial Hospital for a knee or hip replacement?
In 2024 the average total payment to Decatur Memorial Hospital for an inpatient hip or knee replacement stay was $15,539 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,057 per outpatient case (APC 5115, 236 cases).
What is Decatur Memorial Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $94,217, 6.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
How does Decatur Memorial Hospital compare with other Illinois hospitals?
Decatur Memorial Hospital's average total payment per Medicare stay is higher than 62% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Decatur Memorial Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $16,335 across 12 insurers, ranging from $12,350 to $41,722.